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<br />CONDITIONS OF PERMIT AFFIDAVIT
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<br />A.'. NOT I CE OF DEED RESTR I CT IONS:. .
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<br />The undersignad understands that this perlit lay be subject to "deed restrictiDns" which- ~ay b~ mDr~ restrictive than City
<br />regulations. The undersigned aSSUI1!5 re5ponsibility.fo~ co.pliance with any applicable deed restriction~.
<br />.., ,..\', . \,
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the o"ner has hired a contractor or contractors to undertake wor~, they may b~ rl!quir~d to be licensed in accordance with
<br />state and local regulations. If the contractor i5 not licensed as required by Jaw, both the ONner and contractor nay be
<br />cited for a .isdeaeanor violation under state law. . If the owner or intended c~ntract~r are uncertain as to what licensing
<br />requirelents lay apply f~r the intended work, they are advised to contact the City of Zephyrhills 8uilding Departtent, lB131
<br />78B-bbll.
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<br />Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the c~ntractor,
<br />you are indicating that you, rather than the contractor, are responsible for the w~r~. If the contractor "ishes y~u to sign
<br />as contractor that lay be an indication that he is not pr~perly licensed and is not entitled t~ per~itting privileges in the
<br />City of Zephyrhills.
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<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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<br />D.
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<br />CONSTRUCTION LIEN LAW
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<br />(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
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<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoaeowner's Protection
<br />Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is soeeone other than the
<br />"owner", I certify that I have obtained a copy of.the above described docuIDent and prolise in good faith to deliver it to the
<br />"owner" prior to co.mencement.
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<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this application is accurate and that all Hork Hill be done in co~pliance with all
<br />applicable laws regulating construction, zoning, and land development.
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<br />Application is hereby sade to obtain a perlit to do Mork and installation as indicated. I certify that no work or
<br />installati~n has commenced prior to issuance of a perlit and that all work will be performed te, roe~t standards ~f all laws
<br />regulating construction, City c~d~s, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies ~ay apply to the intended ~ork, and that it is
<br />IIY responsibility to identify what actions I lUSt take to b~ in ce,mpliance. Such agencies ir,clude bill ~le nc,lli'lited to:
<br />
<br />I Depart.ent of Envitonmental ReQulation - Cypress Bayheads, H~tland Areas and Environmentally Sensi liv~ lands,
<br />Hater/Wastewater Treatm~nt
<br />I Southwest Florida Hater ManaQe!ent District - Hells, Cypress Dayheads, Hetland Areas, Altering Watercourses
<br />I ArDY CorDs of EnQineers - Seawalls, Docks, Navigable Waterways
<br />I Departlent of H~alth L Rehabilitative Services. Environ~ental Health Unit - He1ls, HasteNater Treat~en:. Septic Tanks
<br />I US Environaental Protection AQency - Asbestos abatement
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<br />I also certify that, if fill laterial is to be used in Flood Ze,ne "A" or "(\,etc.', it is underste,(,d tt.~l a drainage plan
<br />addressing a "colpensating volu~e" will be sub.itted which is prepared by a professional engineer reqislcied in the State of
<br />Florida prior to permit iss~ance.
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<br />A per~it issued shall be construed to be a license to proceed with the wor~ and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every per0it isslled ihall be(~le invalid
<br />unless the work authorized by such permit is cOII~enced within six months of issuance, or if Hork authorJied by the pertit is
<br />suspended or abandoned for a period of six lonths after the time the Hor~ is commenced. One 90 day e~te~5ioll of tile, lay be
<br />allo"ed for the per~it with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An
<br />apprt)ved inspectie,n i!lust be le'ggedduring each six IIlDnth period, CoT the project liill be (C,nsidered dbaiide,r,ed.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
<br />RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
<br />INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
<br />DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
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<br />SIGNATU~~L.:.~-i(~_ik_~~---A SIGNATURE
<br />OWNER OR AGENT 'Pt;1l-~:e~ lo/M-fG .
<br />DATE ___t?$(fL:- .---------------------------
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<br />
<br />CONTRACTOR
<br />
<br />DATE
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<br />-----------------------------------
<br />
<br />NOTARY AS 10 ~J1Wj)rlYLIlIJ.)
<br />OWNER OR AGENT__ _ _ ~~~~~-----
<br />MY COMMISSION EXPIRES_~Ci~Jft~---------
<br />
<br />NOTARY AS TO
<br />CONTRACTOR_____________________________
<br />
<br />MY COMMISSION EXPIRES__________________
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